Please check all that apply.
What month are you reporting for?
*Note: if you checked the "Monthly Reporting" box in the first section, you MUST answer this question.
ALL REPORTING IS DUE BY OR BEFORE 5PM ON THE 20th OF THE MONTH FOLLOWING THE END OF A REPORTING PERIOD.
1st Quarter - APRIL 20th2nd Quater - JULY 20th3rd Quarter - OCTOBER 20th4th Quarter - JANUARY 20th
All required information and suplimentary reports MUST be entered in order to complete the submisssion of this form.
Motel Statistics Report Must be Submitted with This Form
Line A minus Line B
Multiply Line C by 7%
Multiply Line D by 1% if paid by due date.
-A penalty of 5% of the tax due will be imposed if the tax is not paid by the due date.-An additional penalty of 5% of the tax will be imposed every thirty (30) days past the the due date that the tax is not paid.
If applicable, interest accrues at a rate of 10% per annum beginning sixty (60) days from the date the tax was due.
Includes penalty and interest.
By checking the "I agree" box below, you agree and acknowledge that 1) this form will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
This field is not part of the form submission.
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